Healthcare Provider Details

I. General information

NPI: 1427132711
Provider Name (Legal Business Name): MCFARLAND CLINIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 DUFF AVE
AMES IA
50010-3014
US

IV. Provider business mailing address

1215 DUFF AVE PO BOX 3014
AMES IA
50010-3014
US

V. Phone/Fax

Practice location:
  • Phone: 515-956-4095
  • Fax: 515-956-4093
Mailing address:
  • Phone: 515-956-4095
  • Fax: 515-956-4093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JEB O. LEE
Title or Position: EXEC DIR., CLINICAL OPERATIONS
Credential:
Phone: 515-663-8663